0001101396-16-000108.txt : 20161201 0001101396-16-000108.hdr.sgml : 20161201 20161201160917 ACCESSION NUMBER: 0001101396-16-000108 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161129 FILED AS OF DATE: 20161201 DATE AS OF CHANGE: 20161201 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DELTA APPAREL, INC CENTRAL INDEX KEY: 0001101396 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-APPAREL, PIECE GOODS & NOTIONS [5130] IRS NUMBER: 582508794 STATE OF INCORPORATION: GA FISCAL YEAR END: 0927 BUSINESS ADDRESS: STREET 1: 322 S. MAIN STREET CITY: GREENVILLE STATE: SC ZIP: 29601 BUSINESS PHONE: 864-232-5200 MAIL ADDRESS: STREET 1: 322 S. MAIN STREET CITY: GREENVILLE STATE: SC ZIP: 29601 FORMER COMPANY: FORMER CONFORMED NAME: DELTA APPAREL INC DATE OF NAME CHANGE: 19991221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HUMPHREYS ROBERT W CENTRAL INDEX KEY: 0001249450 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15583 FILM NUMBER: 162028447 4 1 wf-form4_148062654481393.xml FORM 4 X0306 4 2016-11-29 0 0001101396 DELTA APPAREL, INC DLA 0001249450 HUMPHREYS ROBERT W 322 S MAIN STREET GREENVILLE SC 29601 1 1 0 0 Chairman and CEO Common Stock $0.01 Par Value 2016-11-29 4 A 0 53248 0 A 541798 D Common Stock $0.01 Par Value 2016-11-29 4 F 0 24795 20.65 D 517003 D These shares were acquired in connection with the vesting of a performance-based restricted stock unit award. These shares were withheld by Delta Apparel, Inc. for the payment of a tax liability incident to the vesting of performance-based restricted stock units. /s/ Robert W. Humphreys 2016-12-01